LAURA R DERRICOTT

NEWARK, DE
NPI1619248572
Former NameLAURA R WINTERBERGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: DE  J1-0004020)
Additional Taxonomies225100000X Physical Therapist
(Licence: MD  23799)
Enumeration Date2012-01-24
Last Update Date2021-01-29
Business Address
LAURA R DERRICOTT PT
104 MACDUFF RD
NEWARK, DE 19711-1514
Phone number: 585-613-5257
Mailing Address
LAURA R DERRICOTT PT
104 MACDUFF RD
NEWARK, DE 19711-1514
Phone number: 585-613-5257